Evidence map›Paper›PMID 39903236›Full record

ArticleInternational urogynecology journal2025

Pelvic Floor Dysfunction and Associated Factors in Women with Systemic Autoimmune Rheumatic Diseases: A Cross-Sectional Study.

Cristiano Carvalho, Ana Paula Rodrigues Rocha, Gabriel Bernardi Dos Santos, Júlia Barbosa Guimarães, Mariana Nobrega Amorim, Ana Carolina Sartorato Beleza, Daiana Priscila Rodrigues-de-Souza, Paula Regina Mendes da Silva Serrão, Tatiana de Oliveira Sato

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In one paragraph

Article in International urogynecology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Prevalence and Impact of Lower Urinary Tract Symptoms among Women with Rheumatoid Arthritis: A Multicenter Cross-Sectional Study.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Cristiano CarvalhoDepartment of Biosciences, Federal University of São Paulo, Campus Baixada Santista, Rua Silva Jardim, 136, Santos, SP, 11015-020, Brazil. cristiano_ew@hotmail.com.ORCID 0000-0003-1174-0015
Ana Paula Rodrigues RochaDepartment of Physical Therapy, Federal University of São Carlos, São Carlos, SP, Brazil.
Gabriel Bernardi Dos SantosDepartment of Physical Therapy, Federal University of São Carlos, São Carlos, SP, Brazil.
Júlia Barbosa GuimarãesDepartment of Biosciences, Federal University of São Paulo, Campus Baixada Santista, Rua Silva Jardim, 136, Santos, SP, 11015-020, Brazil.
Mariana Nobrega AmorimDepartment of Biosciences, Federal University of São Paulo, Campus Baixada Santista, Rua Silva Jardim, 136, Santos, SP, 11015-020, Brazil.
Ana Carolina Sartorato BelezaDepartment of Physical Therapy, Federal University of São Carlos, São Carlos, SP, Brazil.
Daiana Priscila Rodrigues-de-SouzaDepartment of Nursing, Pharmacology and Physical Therapy, Faculty of Medicine and Nursing, University of Córdoba, Córdoba, Spain.
Paula Regina Mendes da Silva SerrãoDepartment of Physical Therapy, Federal University of São Carlos, São Carlos, SP, Brazil.
Tatiana de Oliveira SatoDepartment of Physical Therapy, Federal University of São Carlos, São Carlos, SP, Brazil.

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior Finance Code 001Fundação de Amparo à Pesquisa do Estado de São Paulo #2017/20057-8Fundação de Amparo à Pesquisa do Estado de São Paulo #2022/08624-2
6 · The paper itself

Abstract

introduction and hypothesisSystemic autoimmune rheumatic diseases (SARDs) cause musculoskeletal disorders and are associated with various issues that affect the quality of life. Since the musculoskeletal system is affected, the pelvic floor muscles can also be impacted, leading to possible pelvic floor dysfunctions (PFDs). Thus, the purpose of this study was to investigate the presence of PFDs, such as urinary incontinence (UI), anal incontinence (AI), genital-pelvic pain/penetration disorder (GPPPD), and pelvic organ prolapse (POP) symptoms in women with SARDs compared to a control group composed of women without SARDs; and investigate the association between SARDs and PFDs.

methodsAn online cross-sectional survey was carried out. Using a web-based questionnaire, data on demographic and anthropometric features, PFD (UI, nocturia, AI, GPPPD, and POP), and obstetric history were gathered. For quantitative variables, the Mann-Whitney U test was used, and for categorical variables, the chi-squared test was used for comparison between groups. The association between SARDs and PFD was investigated using logistic regression analysis.

resultsThe questionnaire was completed by 326 women (224 with SARDs and 102 healthy controls). Women with SARDs reported significantly more symptoms of PFD, UI, nocturia, AI (flatus and fecal incontinence), POP, and GPPPD than healthy controls. SARDs were associated with PFD, flatus incontinence, fecal incontinence, dyspareunia, and vaginismus.

conclusionsPFD was much more common in women with SARDs than in healthy women. Women with SARDs were 1.8 to 5.2 times more likely than the control group to report PFD symptoms than women without SARDs.

Indexed as

Autoimmune DiseasesPelvic Floor DisordersRheumatic DiseasesAdultAgedCase-Control StudiesCross-Sectional StudiesFecal IncontinenceFemaleHumansMiddle AgedPelvic Organ ProlapsePelvic PainSurveys and QuestionnairesUrinary IncontinenceDyspareuniaEpidemiologyFecal incontinencePelvic floor disordersRheumatic diseasesUrinary incontinence

Identifiers

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Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.